Case Study : Client Mental Health Characteristics

1617 Words Nov 30th, 2016 7 Pages
Case Study: Client Mental Health Characteristics During the initial phase of therapy, Jane exhibited characteristics that I considered mentally unhealthy in CBT. She had little insight into her maladaptive information processing; she could identify that she was anxious, but was unable to trace the source of this anxiety. I identified two types of cognitive distortions that were problematic for the client: arbitrary inference and mislabeling. Arbitrary inference became particularly obvious as the client reconnected with her son. For example, Jane’s son, hereby known as Joe, might miss a scheduled phone conversation or seem distracted while on the phone with Jane. Jane’s catastrophic conclusion was that Joe realized that he could not forgive her and hated her, despite no evidence to suggest such feelings from Joe. Furthermore, Joe’s interactions suggested that he genuinely loved/missed his mother and is determined to rebuild their relationship. However, this tendency toward arbitrary inference/catastrophizing would invoke near debilitating anxiety as Jane anticipated a phone call or spoke with Joe. Additionally, these experiences would deepen the client’s feelings of shame (e.g. I deserve to be hated, I am a horrible person and unforgivable).
In juxtaposition to arbitrary inference, the cycle of shame continued through the cognitive distortion of mislabeling (i.e. labeling by past mistakes). For example, Jane labeled herself as a bad mother, drug addict, criminal, and…
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